MEDICAL BILLING AND DOCUMENTATION AUDIT SERVICES
A billing/compliance audit is an in-depth analysis of a medical practice’s billing, coding, and documentation procedures. It is done to determine if the medical practice is following the Centers for Medicare and Medicaid services and other payer’s guidelines for appropriate, medically necessary, billing.
This educational review will address any deficit or weakness within the billing area that may expose the practice to problems with government and other payers. The review addresses coding accuracy and can help determine under-coding as well as over coding. Verbal and/or written reports are provided. These reviews are entirely educational and confidential.
MANAGED CARE CONTRACTING
The need for fair reimbursement is crucial today and many times negotiations with payers are difficult. Contracts with poor reimbursement can impact your business and cost you thousands of dollars.
Our senior consultant will identify your strengths and leverage in the market to be successful. He works with all specialties including ambulatory surgical centers to get what you’d deserve, better and more appropriate reimbursement. No never means no in contract negotiation.
WORKFLOW AND MEDICAL PRACTICE OPERATIONS
Having an outside, objective opinion to improve practice operations and workflow is a very valuable service. Many practices do not realize that a fractured or sloppy workflow can lead to additional practice expense.
Operational issues such as staffing and patient flow often reveal that the right people are not undertaking the right tasks at the right time, which is crucial to streamlining the practice workflow. Overstaffing and understaffing can be the result of poor workflow and patient flow. This can be remedied by an operational review consultation. Physician time management and staff time management can be much improved by working differently, leaving to enhanced productivity and less stress.
CHART AUDITS AND CODING REVIEWS
J. Claypool Associates, Inc. provides certified specialists in coding, and medical chart audits. If you have been the target of payer audit, we can help you. Our company can assist your attorney to negotiate reductions from potential payer recoupment.
ATTORNEY SUPPORT SERVICES
Healthcare compliance attorneys need support from certified, professional coders and auditors who can assist with physician documentation and coding. The expertise from J. Claypool Associates, Inc; will allow the attorneys to negotiate favorable terms with payers who have made recoupment demands on client physicians.
MEDICAL PRACTICE ESTABLISHMENT SERVICES
Are you starting a new practice or looking to leave a group? J. Claypool Associates Inc. has over 25 years of experience in practice start up.
Advice and guidance is what most physicians need when they endeavor to go out on their own, our clients have not only succeeded in the practices we have helped them start up, we have helped them exceed their expectations.
Doing it correctly the first time is the key. We can help you get there.
PHYSICIAN RECRUITMENT
For physician recruitment, we can assist with your recruitment and retention strategy, as well as refer to a number of trusted firms with whom do business quite frequently. If you endeavor to recruit a physician, you should call us so we can put you in touch with the very best, as we have an entire network of both retained and contingency firms that we have come to rely upon.
Specifically, however, when it comes to recruiting psychiatrists, we have found that the very best for psychiatric recruitment is Monroe & Weisbard , our partner, that can be reached by calling 516-92-PSYCH (927-7924). Call us at 800-227-4594 (in Texas) or 512-264-3323 in Austin.